Pregnancy Related Clinical Trial
Official title:
Impact of a Video Education Tool for the Second Stage of Labor
NCT number | NCT04766099 |
Other study ID # | 202101089 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 1, 2021 |
Est. completion date | August 1, 2022 |
Verified date | December 2022 |
Source | Washington University School of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The second stage of labor or the pushing stage can be challenging and intimidating for patients delivering for the fist time. Among women with neuraxial anesthesia pushing may not be instinctive and therefore various coaching methods are used to maximize maternal expulsive efforts and minimize pushing time. Time intensive strategies including transperineally ultrasound and bio-feedback have been employed to assist with pushing but they are difficult to implement widely. While some women may attend birthing classes or have previously been coached on pushing prior to the onset of labor, many women are unable to access classes prior to labor or do not retain what they learned in a class weeks prior to labor. Previous studies have evaluated the effect of coached pushing on the length of second stage and have indicated that coaching can decrease the second stage up to 13 minutes. In most clinical scenarios, coaching or guidance from the nurse or provider happens once the patient attains complete dilation. There are limitations to this approach as waiting to coach after a potentially long and arduous labor is suboptimal. Therefore, we propose a randomized controlled trial investigating the use of an educational video during the first stage of labor on length of the second stage.
Status | Completed |
Enrollment | 161 |
Est. completion date | August 1, 2022 |
Est. primary completion date | July 1, 2022 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Nulliparous women - Over 18 year of age - Single fetus - Term: has completed 36 weeks of pregnancy Exclusion Criteria: - fetal anomalies - Prior cesarean delivery - contraindication to valsalva - blind patients - admission in the second stage of labor |
Country | Name | City | State |
---|---|---|---|
United States | Barnes Jewish Hospital | Saint Louis | Missouri |
Lead Sponsor | Collaborator |
---|---|
Washington University School of Medicine |
United States,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Length of the Second Stage of Labor | Time from complete dilation to delivery of the fetus | delivery | |
Secondary | Labor Satisfaction Scores | Labor satisfaction as measured by the Mackey Childbirth Satisfaction Rating Scale. Scores are given by patients on a scale from 1-5 with 5 being the highest and 1 being the lowest. | 1 day ( Assessed via survey prior to discharge from the hospital) |
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